Methylthio-DADMe-immucillin-A (MT-DADMeCellular proliferation is associated with increased levels of polyamine biosynthesis and polyamine pools (1). Target validation for the polyamine pathway as an anticancer approach has come from ␣-difluoromethylornithine (DFMO), 3 a suicide inhibitor of ornithine decarboxylase (ODC) and the committed step of polyamine biosynthesis (2, 3). ODC is a difficult cancer target because of its rapid turnover and the dose-limiting toxicity of anti-ODC agents (4). Because of these difficulties, DFMO has not gained wide use. But the polyamine pathway, through its close interaction with S-adenosylmethionine (AdoMet) recycling, remains a target for cancer therapy. We investigated the possibility that feedback inhibition by 5Ј-methylthioadenosine (MTA), induced by a transition state analogue inhibitor of 5Ј-methylthioadenosine phosphorylase (MTAP), could be used to block this pathway and initiate anticancer effects. The results indicate that blocking MTA recycling with transition state analogues of MTAP induces apoptosis through specific epigenetic changes in specific cultured cancer cell lines. Inhibition of MTAP is effective in treating a xenograft model of head and neck cancer in mice.MTA is a product of both spermidine and spermine synthases and provides product inhibition at two sequential sites in the polyamine pathway (Fig. 1A). In humans, MTA is degraded exclusively by MTAP (EC 2.4.2.28), expressed from a single gene locus at 9p21. MTAP produces adenine and 5-methylthio-␣-D-ribose-1-phosphate (Fig. 1B), and these products are recycled to AdoMet. Inhibitors of MTAP are therefore expected to increase intracellular MTA, cause feedback inhibition of polyamine biosynthesis, prevent AdoMet recycling, and disrupt AdoMet-dependent methylation activity. One or more of these activities is expected to be associated with antiproliferative activity (5-8).The transition state structure of human MTAP has been established by kinetic isotope effects and quantum chemical calculations. It is characterized by a late transition state with weak participation of the phosphate nucleophile, similar to that of human purine nucleoside phosphorylase but slightly more advanced (Fig. 1B) (9 -15). Analogues of the human MTAP transition state have been synthesized and are powerful and specific inhibitors (16 -18). Methylthio-DADMe-Immucillin-A (MT-DADMe-ImmA) is a chemically stable transition state analogue of human MTAP and is a slow onset tightly binding inhibitor with a dissociation constant of 86 pM (18).
* This work was supported by National Institutes of Health Grants GM41916and CA85953 and a pilot project award from P30 CA013330. The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.